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PS 16-2: Request for Access to Personal Health Care Information (PHI): DES Authorization to Release Information

Date: 
08/05/2019
Author: 
DES

Note that as of July 8, 2019, DES has a new Authorization to Release Information form, https://www.masslegalservices.org/content/des-authorization-release-information. 

Prior version, July 21, 2016.

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File Attachment: 
AttachmentSize
File PS 2016-2 8.5.19 Rev. - DES Authorization to Release Protected Health Information.docx29.89 KB
File PS 16-2 DES Authorization to Release Protected Health Information.docx31.7 KB
File DES - Autho to Release Info 11-1-16.docx50.11 KB
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Library Type: 
Govt. Agency /Court Links& Materials
Library Categories: 
DTA disability procedures, Eligibility

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